Patient-provider power relations in counselling on long-acting reversible contraception
A discursive study of provider perspectives
Bibliographic Data
| ID | 15098911 |
|---|---|
| Authors | Tracy Morison (0000-0001-9088-1662, Massey University, corresponding author) |
| Year | 2023 |
| Volume | 25 |
| Issue | 5 |
| Pages | 537-553 |
| Publication date | 2023-05-02 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Culture Health & Sexuality (JOURNAL) |
| Journal identifiers | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691058.2022.2067593 |
| OpenAlex | W4229001277 |
| Language | EN |
| Citations received | 5 |
| References cited | 36 |
Contraceptive providers play an essential role in shaping contraceptive decision-making and care, with the potential to constrain patients’ agency. This is a particular concern given the rising hegemony of Long-Acting Reversible Contraception (LARC) and growing evidence of negative patient experiences of LARC promotion and provision. Despite this evidence, little research has considered health providers' perspectives. Drawing on interviews with 22 contraceptive health providers in Aotearoa New Zealand, this paper explored their professional identity construction, focusing on meaning-making in instances of conflict between providers' and patients' priorities and agendas. Guided by feminist poststructuralist theory, the discursive analysis highlights common rhetorical strategies used by participants to (1) justify the use of coercive practices to encourage LARC uptake, and (2) in turn, negotiate positive identities. Findings show how participants grapple with the reproductive politics structuring contraceptive care, including established understandings of the purpose of (long-acting) contraception and contraceptive providers' roles vis-à-vis provision and promotion. The findings point to limitations on contraceptive agency, despite the unanimous endorsement of rights-based voluntary care. Extending the critical literature on LARC and contributing to the under-researched area of contraceptive coercion and agency, the findings of this study have important implications for the delivery of contraceptive care
Agency (philosophy · Aotearoa · Family planning · Long-acting reversible contraception · Negotiation · Political science · Population · Public relations · Reproductive health · Sociology · Gender Studies · Global Maternal and Child Health · Law · Maternal and Perinatal Health Interventions · Medicine · Nursing · Reproductive Health and Contraception
Online Discussions About Intrauterine Devices
Patient-centered or population-centered? How epistemic discrepancies cause harm and sow mistrust
Taking matters into our own hands? Hierarchies of power and knowledge in online framings of IUD self-removal
Reproductive Justice for Adolescent Migrant Girls in the Post-ICPD Era
The unravelling of person-centred care
Under (implicit) pressure
The power of persuasion
Adjusting the analytical aperture
Structural Competency and Reproductive Health
More Than a Destination
Young Australian women explain their contraceptive choices
You Will Have These Ones!’
The Fine Line Between Informing and Coercing
Constructing contentious and noncontentious facts
Provider Bias in Long-Acting Reversible Contraception (Larc) Promotion and Removal
Intersections of Ethnicity and Social Class in Provider Advice Regarding Reproductive Health
This is what the truth is
I was obligated to accept
Planning parenthood
The proliferation of sexual health
Efficacy as safety
We have to be mythbusters
The age of Larc
A Performative-Performance Analytical Approach
We're a Little Biased
Agency-Without-Choice
| Unique citing works | 5 |
|---|---|
| Citations per year | 2,5 |
| Citation span | 2024 - 2025 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 5 |